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1053756700
AT-HOME AUTO ACCIDENT TREATMENT, LLC
WEST ALLIS, WI
NPI
1053756700
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Entity Type
Organization
Authorized Contact
BRIAN FORMOLO
Owner
262-682-1101
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WI 3364)
Enumeration Date
2013-05-08
Last Update Date
2013-05-08
Business Address
AT-HOME AUTO ACCIDENT TREATMENT, LLC
5800 W NATIONAL AVE
WEST ALLIS, WI 53214-3446
Phone number: 262-682-1101
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Mailing Address
AT-HOME AUTO ACCIDENT TREATMENT, LLC
PO BOX 11
MUSKEGO, WI 53150-0011
Phone number:
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